Dr. Russell Allen Boatwright Sr. is a Conway, South Carolina based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Russell Allen Boatwright Sr. is
2775 for General Practice Dentistry in South Carolina. His current practice location is
1603 10th Ave, Conway. Patients can reach him at
843-248-2705.
Dr. Russell Allen Boatwright Sr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Russell Allen Boatwright Sr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Russell Allen Boatwright Sr. |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1603 10th Ave, Conway, South Carolina, 29526-4111 |
| Phone: | 843-248-2705 |
| Fax: | 843-248-4202 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1174694004 |
| NPI Enumeration Date: | 13 Nov, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Russell Allen Boatwright Sr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 2775 | General Practice Dentistry | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Russell Allen Boatwright Sr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| Z27757 | Medicaid | South Carolina | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1077, Conway, South Carolina |
| Zip: | 29528-1077 |
| Phone Number: | 843-248-2705 |
| Fax Number: | 843-248-4202 |
Patients can reach Dr. Russell Allen Boatwright Sr. at
1603 10th Ave, Conway, South Carolina or can
call to book an appointment on 843-248-2705.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.